Individual
OMORUYI OKUNDAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 MOUNT VERNON ST, OSHKOSH, WI 54901-4531
(708) 315-4932
Mailing address
815 MOUNT VERNON ST, OSHKOSH, WI 54901-4531
(708) 315-4932
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
733127
WI
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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